WATC > Financial Aid > Independent Verification Worksheet, 2011-2012
 

Independent Verification Worksheet, 2011-2012


Student Information
  1. W000 *
  2. *
  3. *
  4. *
  5. - - *

In compliance with the financial aid program rules (CFR Title 34, Part 668), your school must review the requested information.

 

Please read all instructions carefully. Inaccurate or incomplete information may delay the processing of your financial aid file. Forms not completed in their entirety will not be accepted.

 

Family Size Information

Below, please list all people you (and/or your spouse) will support now, and through June 30, 2012. *
Include:

  • Yourself
  • Your spouse
  • Your dependent children (If you provided more than half their support)
  • Others living in the household (If you provided more than half their support)
Full Name
Include first and last names of each individual in the household. 		Date of Birth
Enter date of birth of each person in the family. Do not include dependent family members born before January 1, 1988 or enrolled in a post-secondary education.* 		Relationship to Student
Include other people as part of your family ONLY IF they lived with you and received more than half their support from you (and your spouse) at the time you completed the FAFSA, AND they will continue to receive more than half their support from you (and your spouse) from July 1, 2011 to June 30, 2012. 		College Attending If family members will be attending college at least half time in a degree or certificate program between July 1, 2011 and June 30, 2012, indicate name college. If a family member will not be attending college, indicate by using N/A.
Example: John Doe 1/1/1900 Self WATC
1

* Some exceptions may be made regarding people in the household born before January 1, 1988.
    Please contact the Financial Aid Office for more information regarding these exceptions.

 

Additional Financial Information Please answer ALL of the following questions based on the 2010 tax year. If zero, enter 0 - Leave no fields blank.
  STUDENT SPOUSE
Child support PAID because of divorce or separation: Name(s) of child(ren): $ /yr $ /yr
Taxable earnings from Federal Work-Study: $ /yr $ /yr
Grant and scholarship aid reported to the IRS in your adjusted gross income
(AmeriCorps benefits, fellowships, assistantships, etc): 		$ /yr $ /yr
Earnings from work under a cooperative education program offered by a college: $ /yr $ /yr
Untaxed Income Please answer ALL of the following questions based on the 2010 tax year. If zero, enter 0 - Leave no fields blank.
  STUDENT SPOUSE
Payments to tax-deferred pension and savings plans found in boxes 12a-12d on W-2's, codes D through H and S. Include untaxed portions of 401(K), 403(b), etc.: $ /yr $ /yr
Child support RECEIVED for all children: $ /yr $ /yr
Housing, Food, and other living allowances paid to members of the military, clergy, and others (includes cash payments and cash value benefits): $ /yr $ /yr
Veterans noneducation benefits, such as Disability, Death Pension, or Dependency & Indemnity Compensation (DIC): $ /yr $ /yr
Any other untaxed income or benefits not reported elsewhere, including Disability (SSDI), etc. (Don't include welfare payments, SSI, untaxed Social Security, military housing, or combat pay): $ /yr $ /yr
Money received, or paid on your behalf (e.g. bills), not already reported on this form: $ /yr $ /yr

Note: If you had an IRA rollover (Roth, etc), you must supply appropriate documentation in order to remove the untaxed income from the calculations of financial aid.